Job Application

Title: CUSTOMER SATISFACTION SPECIALIST

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Information
Date of Application *
First Name *
Middle Name *
Last Name *
Phone Number *
Email Address *
Have you ever worked for us before? * Yes

No
Are you legally authorized to work in the United States? * Yes

No
Have you ever been convicted of, or served time for a felony in the past seven years? * Yes

No
Describe incident, charge, and location
Address
Street *
City *
State *
Zip Code *
Available Start Date
Select Date
Schedule you are willing to work? *
Salary Required *
Work History – Most Recent First
Name of Company
Position
Date You Started
Date You Left
Duties
Reason for Leaving
Name of Company
Position
Date You Started
Date You Left
Duties
Reason For Leaving
Name of Company
Position
Date You Started
Date You Left
Duties
Reason for Leaving
Education Information
Did you obtain a high school diploma or GED? * Yes

No
School Name/City/State
Did you attend college? Yes

No
School Name/City/State
Type Of Degree Obtained
Did you attend Graduate School? Yes

No
School Name/City/State
Type Of Degree Obtained
Other Education (Describe)
School Name/City/State
Type Of Degree Obtained
General
Special Skills or Experience (machines, forklift, tools, read blue prints, etc.)
If applying for an office position, what business equipment can you operate? (For example, computers, copiers, etc.)
In what computer software programs are you proficient? (Name the package(s).)
Can you perform the requirements of this job with or without reasonable accommodation?
Please Read the Following Statements Carefully
Notice to Applicants:
Ace Manufacturing & Parts Company and Rokwell Industries welcome all qualified applicants without regard to their race, color, religion, gender, national origin, age, marital status, disability or other protected status. Please complete the application completely. Information provided will assist with the evaluation of your qualifications. All offers of employment are contingent upon successful completion of required post offer examinations including, but not limited to, drug screen, physical, criminal background check. Employment with Ace Mfg. & Parts Co. /Rokwell Industries is employment “at will”. This application and/or other human resources related forms provided to you do not constitute and employment contract.
Check here to acknowledge you have read the General Notice above * I acknowledge
In consideration of my employment, I agree to conform to the policies and procedures of the company. I understand that in accepting this application, the company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I am employed at will and that my employment and compensation can be terminated with or without cause, and with or without notice at any time.
Check here to agree to the above Statement * I agree
I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements on this application or omission of the fact on either this application or during the pre-employment process will result in my application being rejected, or, if I am hired, in my employment being terminated.
Check here to agree to the above Statement * I agree
I also understand that any offer of employment is contingent on successfully passing a physical exam and drug screen and pre-employment testing. I agree to refund the Company the cost of my physical exam and drug screen, if I fail to pass the drug screening, fail to report to work or resign or am terminated for any reason during the 90-calendar day probation period. I authorize a payroll deduction of that amount from my final paycheck.
Check here to agree to the above statement * I agree
I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information, including criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my work and educational record and background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for releasing this information. I also understand that the use of illegal drugs is prohibited during employment.
Check here to agree to the above Statement * I agree
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